Intrathoracic neural tumours.

Davidson, K G; Walbaum, P. R.; McCormack, R J

doi:10.1136/thx.33.3.359

Cited by 98 publications

(45 citation statements)

References 10 publications

(8 reference statements)

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“…Our incidence of malignancy in children was 61.5%. In adults, most of the tumours are described as benign (2,4,12). In our patients, the malignancy rate in adults was 8.5%, which is similar to that of other reports (8,12).…”

Section: Follow-upsupporting

confidence: 79%

“…Approximately 90% of these tumours occur in the posterior mediastinum or paravertebral sulcus. Mediastinal neurogenic tumours are benign in most cases, with an overall incidence of malignancy ranging from 3% to 19% (1,4,5). Surgical resection is considered the primary treatment of such tumours and is usually performed through a thoracotomy (2,6).…”

Section: Ediastinal Neurogenic Tumours (Mnt) Account Formentioning

confidence: 99%

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Neurogenic Tumors of the Mediastinum: A Report of 60 Cases

Topçu¹,

Alper²,

Gülhan³

et al. 2000

Canadian Respiratory Journal

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OBJECTIVES:To analyze retrospectively 60 patients (13 infants and children, 47 adults -21 men and 39 women) with mediastinal neurogenic tumours admitted to Atatürk Centre for Chest Disease and Chest Surgery, Ankara, Turkey between 1988 and 1999. This comprised 21.2% of 283 patients who had surgical operations for all mediastinal masses during the same period. PATIENTS AND METHODS:The patients ranged from four to 67 years of age. Thirteen patients were younger than 15 years and 47 were 15 years of age or older. Medical records were reviewed for demographic data, clinical presentation, diagnostic investigations, operative procedures, and tumour location and invasion. Postoperative morbidity and mortality were noted as well as long term follow-up. The clinical investigations included chest x-ray and computed tomography of the thorax in all patients, and spinal magnetic resonance imaging and bronchoscopical examination in some. Clinical variables were compared. RESULTS: The tumours had the following characteristics: 42 (70%) were nerve sheath tumours; 15 (25%) were autonomic ganglion tumours; two (3.6%) were paragangliomas; and one (1.4%) was a malignant peripheral neuroectodermal tumour (Askin's tumour). Nerve cell tumours comprised the majority of tumours in infants and children (nine of 13, 69%), whereas the nerve sheath tumours were most frequent in adults (39 of 47, 83%). There were 48 benign and 12 (20%) malignant tumours when all age groups were considered; the malignancy rate was 61.5% (eight of 13) in children and 8.5% (four of 47, P<0.05) in adults. All patients were operated via a posterolateral thoracotomy. Surgical resection of the tumour was complete in 56 of 60 patients (93.3%). Resection of malignant tumours was grossly incomplete in four cases (four of 12, 33.3%). All benign tumours were totally excised. There were two major complications (respiratory failure and pulmonary emboli) and 14 minor complications in the perioperative period. The mean follow-up period was five years and seven months. Tumours recurred in 5.3% (three of 56) of patients who had a complete resection initially. There were no late deaths related to benign tumours. CONCLUSIONS: Complete resection of tumours can be performed safely by a thoracotomy approach and is important for achieving satisfactory long term survival in most mediastinal neurogenic tumours.

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Section: Follow-upsupporting

confidence: 79%

Section: Ediastinal Neurogenic Tumours (Mnt) Account Formentioning

confidence: 99%

Neurogenic Tumors of the Mediastinum: A Report of 60 Cases

Topçu¹,

Alper²,

Gülhan³

et al. 2000

Canadian Respiratory Journal

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“…1 More than 90% of neurilemmoma are benign. 3 Neurilemmoma occurs with equal frequency in men and women. 2 The tumor has been reported in patients of all ages (mean age 41 years).…”

Section: Discussionmentioning

confidence: 99%

“…2 The tumor has been reported in patients of all ages (mean age 41 years). [1][2][3] Neurilemmoma may occur in any peripheral nerve and is often found in the chest wall and the posterior mediastinum. 4 Although being very rare, pulmonary neurilemmoma can occur in all respiratory tracts including the trachea, bronchus, bronchioles and alveoli.…”

Section: Discussionmentioning

confidence: 99%

A Case of Primary Endobronchial Neurilemmoma Without Intraspinal Extension

Kim

et al. 2012

Yeungnam Univ J Med

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Neurilemmoma is a benign and slowly growing neurogenic tumor. Intrathoracic neurilemmoma often develops in the chest wall and posterior mediastinum, but endobronchial neurilemmoma is extremely rare. The diagnosis of endobronchial neurilemmoma with preoperative imaging findings is challenging and is usually made via postoperative pathological examination. These authors encountered a case of primary endobronchial neurilemmoma in a 52-year-old woman who had no symptoms. A 3.0 × 2.6 cm mass in the right lower lobe projecting into the mediobasal segmental bronchus was shown in the results of the contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) of the chest. Benign neurilemmoma was confirmed via bronchoscopic biopsy, and surgical resection (sleeve bronchial excision and end-to-end anastomosis) was performed.

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“…1) Intrathoracic neurilemmoma is usually found in the posterior mediastinum and bulge from the inner surface of the bony thorax toward the thoracic cavity. 2,3) Extrathoracic neurilemmoma is extremely rare, and Sakurai, et al reported one case of extrathoracic neurilemmoma mimicking a subcutaneous tumor of the lateral chest wall. 4) To the best of our knowledge, we report the first case of dumbbellshaped neurilemmoma that had grown both outside and inside the thoracic cavity in the lateral chest wall.…”

Section: Introductionmentioning

confidence: 99%

Neurilemmoma Showing a Unique Growth Pattern in the Lateral Chest Wall: Both Inside and Outside the Thoracic Cavity

Ahn¹,

Park²,

Sun³

et al. 2014

ATCS

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We report the first case of the intercostal neurilemmoma showing a unique growth pattern in the lateral chest wall (both inside and outside the thoracic cavity). Usually, intrathoracic neurilemmoma is found in the posterior mediastinum and bulge from the inner surface of the bony thorax toward the thoracic cavity. This unique growing pattern of neurilemmoma arising from intercostal nerve was clearly demonstrated by computed tomography and ultrasonography.

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Intrathoracic neural tumours.

Abstract: . (1978). Thorax, 33,[359][360][361][362][363][364][365][366][367]

Cited by 98 publications

References 10 publications

Neurogenic Tumors of the Mediastinum: A Report of 60 Cases

Neurogenic Tumors of the Mediastinum: A Report of 60 Cases

A Case of Primary Endobronchial Neurilemmoma Without Intraspinal Extension

Neurilemmoma Showing a Unique Growth Pattern in the Lateral Chest Wall: Both Inside and Outside the Thoracic Cavity

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